<% OPTION EXPLICIT %> Families in Society - Order Form

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SAVE 25%!
(Discounted rates
are listed.)		 Print Issues CD-ROMs   Shipping Rate (per region)
FIS Subscribers
 		       US (Domestic)
Price each 1-10 copies $40 $30   10% of total
Price each 10-49 copies $25 $15   Canada
Price each 50+ copies
 		 n/a $5     15% of total
General
 		       International
Price each 1-10 copies $55 $45   20% of total
Price each 10-49 copies $30 $20    
Price each 50+ copies
 		 n/a $10    


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ORDER INFORMATION

Are you a FIS subscriber?

1st Selection

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2nd Selection                 Qty
       

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BILLING

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Expiration Date:  Month:           (mm)   Year:          (yyyy)       
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to Charge:

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US$   Add 10% shipping/handling for U.S.
                                Add 15% shipping/handling for Canada
                                Add 20% shipping/handling for International

US$

 

BILLING ADDRESS
E-mail Address
Full Name
Organization
Job Title
Street Address
Address (cont.)
City
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Phone Number
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SHIP-TO ADDRESS

Check if same as billing, otherwise enter information below:
Full Name
Organization
Street Address
Address (cont.)
City
State/Province
Postal Code
 

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If paying by check or money order or if you prefer to complete your order via mail/fax, please complete the print order form and return to the address below. 

Questions? Please contact the FIS staff at:

Families in Society
Box 88814
Milwaukee, WI 53288-0814
USA
Phone: (+011) 414-359-6522    Fax: (+011) 414-359-1074
E-Mail: info@alliance1.org